Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

North Central Texas Community Health Care Center Inc (NPI 1750983276)

Field	Value
Entity Type	Organization
Organization	North Central Texas Community Health Care Center Inc
Address	1620 W Virginia Street
City	Mckinney
State	TX
ZIP	75069
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 10, 2020

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	61,370	$180	$11.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	33,010	$40	$1.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,860	$40	$364.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,880	$60	$335.2K
D0999	N/A	740	$210	$159K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,750	$40	$121K
99381	The provider performs a well–baby visit for a child under the age of one.	1,370	$80	$109.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,860	$40	$80.1K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	1,660	$40	$69.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,260	$50	$56.7K

Showing 1–10 of 68

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

North Central Texas Community Health Care Center Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	33	770	2,990	$170	$2.6M
D0999	N/A	69	180	390	$190	$405.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	771	6,040	710	$40	$232.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	360	1,500	880	$80	$185.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	117	1,360	800	$80	$185.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,599	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	891	1,540	650	$80	$150.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,697	1,700	610	$80	$111.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,048	1,540	360	$80	$110.6K
D0145	N/A	1,560	2,710	230	$130	$110.1K

Showing 1–10 of 68

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Central Texas Community Health Care Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Texas Community Health Care Center Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$17.6M
North Central Texas Community Health Care Center, Inc	TX	Federally Qualified Health Center (FQHC)	$0	$12.3M
Palashkumar Jaiswal	TX	Gastroenterology Physician	$174.3K	$0
Joshua Stagg	TX	Gastroenterology Physician	$128.3K	$0
Louis Wilson	TX	Gastroenterology Physician	$124.1K	$0
Lee Ackley	TX	Medical Physician Assistant	$37.3K	$0
Ellaheh Ebrahim	TX	Family Medicine Physician	$7.9K	$0

Nearby Providers

Other providers in the same ZIP code as North Central Texas Community Health Care Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phi Health, L.L.C.	TX	Air Ambulance	$6.1M	$25.9M
Monte Jones	TX	Hematology & Oncology Physician	$957.1K	$0
Farhan Mohammad	TX	Hematology & Oncology Physician	$872.8K	$0
Nithya Palanisamy	TX	Hematology & Oncology Physician	$850K	$0
Sultan Chowdhary	TX	Hematology & Oncology Physician	$339.1K	$0
Ann Snyder	TX	Family Medicine Physician	$283.8K	$0
Nishant Bhatt	TX	Plastic and Reconstructive Surgery Physician	$266.2K	$0
Muhammad Khan	TX	Cardiovascular Disease Physician	$240.3K	$0
Salman Butt	TX	Nephrology Physician	$225.4K	$0
Ankit Maheshwari	TX	Interventional Pain Medicine Physician	$220.4K	$0

North Central Texas Community Health Care Center Inc — Billing Profile & Reimbursement Data

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North Central Texas Community Health Care Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References